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Treatment for pain in hips and lower back and stomach?
Patient: 2 days ago i slipped in the shower and landed on my lower back/buttock area. It is hard for me to do the simplest things like sitting up, getting out from bed, etc. i can still walk around, as long as I keep my back straight. My hips also seem to be in pain bcos when i sit up after laying down, it hurts. My dad is a doctor as well and he suspects it s a muscle sprain since it only hurts when i move and it doesnt hurt when he applied pressure to my lower back. Also, the area below my stomach seems to be affected as well. Any advice on how to cope? Doctor: I understand your symptoms. First, pelvic and spine x ray and abdominal ultrasound should be done to exclude bone or organ injury. After excluding injury, this may be muscles sprains and treated with analgesics and antiinflammatory drugs.
131,104
What are the symptoms of hyperthyroidism in children?
Patient: What would be the symptoms portrayed by a 3 1/2 year old if he has hyperthyroidism? My daughter has been diagnosed with hyperthyroidism. Her son has been having huge mood swings,itching, clearing his throat loudly, is loving, sweet, seems smart and more mature than his age but has continuously been becoming more and more mean, hitting, kicking, pinching, biting, throwing things at family, walls, saying he does not have to listen to us, he does not love us, etc., etc.! He is in constant motion, running around, getting into everything, totally wild. Then, all of a sudden he can become loving , wanting his cuddling, telling us how much he loves his family. Should he be checked to make sure that he has not developed hyperthyroidism? Sincerely, Grandma Kathy ( Retired RN and Concerned Grandma) Doctor: Hello and welcome to 'Ask a doctor' service . I have reviewed your query and here is my answer . One thing is sure it is not a thyroid problem. Anyway thyroid problem can be diagnosed by a simple blood test .Your grandchild's symptom should be assessed by a child psychiatrist . Hope I have answered your query. Let me know if I can assist you further.
162,829
Suggest treatment for irritation and redness on tip of the penis
Patient: The tip of my penis is irritated and red from rubbing on my underwear at work all day as well as my urethra itching from the tip to about halfway down although there is no burning sensation when I urinate or anything of that nature.... I am extremely worried about it though. Could you please help? Doctor: HiI had gone through your query.it seems like urinary track infection or local infection around genitalias.Chances of fungal infections are more in area around penis.Bacterial infection cause burning sensation in urine.urine examination will give more idea about infection.Local examination is necessary to diagnose fungal infection.Consult physician and dermatologist for better assistance.Drink much fluid and water to reduce burning sensation.Medicines like anti fungal and antibiotic can help but require proper consultation before taking any medicines.Still if you have query then feel free to ask.Get well soon.Thank you.
201,525
How to get rid off asthma?
Patient: Hello Dr., My son is 6 years old and he has a history of Wheezing (asthma), Eosinophil count is now around 790 and Total IGE is 154. Can you please suggest some permanent cure for this condition. He is been in same state since last 4 years with gradual appearance of this condition. Doctor: Hello,Although the absolute eosinophil count is high, the total IgE level is not very high which would probably suggest this may not be allergic asthma.However, I would recommend specific IgE blood tests against aeroallergens to ensure he is not allergic to say house dust mite or cockroach as Immunotherapy will help to a great extent if he has any specific allergies.otherwise, optimal medical management with Fexofenadine, Montelukast and combination inhalers will be enough to control the asthma.Best Wishes.
101,954
How to treat chronic hepatitis b with bloating and stomach growling?
Patient: Hi! I have chronic hepatitis b, and I don't have any symptoms and do not take any medications. But since last week I've feeling bloated, my stomach is growling constantly , and I feel full. I going to see my doctor tomorrow, but I just need to know if this is something to worry about? Thank you. Doctor: HelloThanks for asking query on HCM. As you have mentioned you are suffering from chronic hepatitis B and not on antivirals, but you have not given details of your liver function tests or viral load. Your description of recent symptoms could be due to two main reasons - fluid in the abdomen or due to dyspepsia/flatulence problems. So you would require atleast ultrasound of the abdomen to rule out chronic liver disease/ascites along with LFT. If normal it could be becauses of dyspepsia for which treatment is simple. Take care.
55,415
Do I have a phobia if I am nervous when a doorway, aisle or hallway is blocked?
Patient: I get extremely nervous when a doorway, aisle, or hallway is blocked. This happens especially in public places lile restaurants or stores. Basically anytime I feel like I would not be able to get out easily if I needed to. Do i have a phobia, and if so, what is it called? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Agoraphobia is the phobia that you are having. More specifically it is clustrophobia. This needs treatment with paroxetine and benzodiazepines. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
211,317
Suggest treatment for nausea and palpitation
Patient: Hi, my boyfriend is having a lot of problems with his health. First of all, he has a lot of problems with his stomach, and is constantly nauseous, he can t eat because he s sick and when he does eat he gets more sick. It seems basically like his stomach is one huge ulcer. He has tried different medicines like Prilosec but their effectiveness wears off after a few months. But what is really worrying me is the fact that he seems to be having heart problems. He s 24 and not in the best shape, but he gets winded going up stairs. His heart seems to be beating far too quickly. Last night he complained about the fact that his heart would seem to stutter and then start back up again. When he has exercised he seemed fine during the activity but when he stops his heart works overtime. What could possibly be the problem? Thank you. Doctor: Hello, I passed carefully through your question and would explain that his symptoms could be related to anemia, probably caused by the ulcer. For this reason, it is important checking complete blood count for anemia. Other tests to consider would be: a resting ECG, blood electrolytes, thyroid hormone levels and cardiac ultrasound. Regarding the ulcer, I would recommend taking an antibiotic besides PPI; in order to help recover from this condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
17,369
Abdominal pain, loose stools, yeast in stool. Back, shoulder pain. Have fatty liver, kidney stones. Reason?
Patient: i have pain at the upper left quadrant of my abdomen, i have loose stool, fecalysis shows that i have yeast on my stool. i have upper back pain with left shoulder pain, my doctor told me that i have non alcoholic fatty liver grade 1 and kidney stones. i am also experiencing left butt pain but not really that painful. what should be the cause of all these pain? Doctor: Hi, the pain in the upper left quadrant might be due to the pancriatitis,kidney infection, stone in the ureter, colitis most probably, as you have loose stools. it may be due to amoebic colitis, or infection with the anerobic bacteria. Thank you.
92,819
Pain to touch in right lower back. Have Celiacs disease with history of gallbladder removal. Is this serious?
Patient: Bruise like feeling to the touch on my right side lower back above my hip but below my right ribcage. I had my gallbladder removed 5 years ago and have Celiacs Disease. After I touch the spot, it hurts a good amount and then fades over the next 20 minutes. Could this be serious given my past? Doctor: Hi, The pain you are having could be related to: - appendicitis - possible kidney or urinary tract infection - liver/pancreas/bowel problems. So, I strongly suggest to consult your GI specialist as soon as possible to rule out appendicitis (as emergency) and other conditions. I also advise to: - do abdominal ultrasound - do urine analysis - do complete blood profile - check your liver enzymes in blood All the best! Dr.Behar
112,169
Suggest remedy for getting pregnant
Patient: I am trying to get preg from last 1 and half yrs. Iam married for 2 yrs. my menstrual cycle are normal. i have pcos and thyroid. presently i hav egone for follicular studies and my doctor gives e hcg 5000 and duphaston and fertyle100.will it be helpful to get pregnant. I am eager to get preg. plz help. Doctor: u should go for ovulation study...ur follicles will grow n rupture...den if u keep relationship ...den u will get pregnant...first is u should take clomiphene or letroze from your doctor ...n do follicular study
335
Swollen gums, tooth pain. Advised hydro floss machine. Using mouth wash, taking flouride treatment. Can I take tylenol?
Patient: Recently, my gums and teeth have been red, swollen and hurt. I went to a new dentist a few days ago and he said my x-rays looked fine and that I need to order a hyrdrofloss machine to flush water into the tooth area. He did not clean my teeth, which I wanted him to do as he does his own cleanings. I go back to him on Monday for an impression for a night guard as I have went a few years without one but I called him today and explained that my mouth continues to hurt...his response was...did you get the hydrofloss machine yet and I said no I had not ordered yet - he said he could not clean my teeth until I start on the machine but will take a look again on Monday when I come in for my impression. Should I find a different dentist with a hygenist or do I continue to go to this guy. Isn t there something immediately that he can give me or do that will help my pain. I am flossing, brushing and using the pro health mouthwash instead of Listerine because of the alcohol may burn worse. Also, he did prescribe a flouride treatment 5,000 unit toothpaste that I do at night...I am not sure what to ask him on Monday. Should I be taking tylenol and just gently brushing my gums - even my cheeks hurt. Thank you so much for all of your help in this matter. Doctor: Hi, as you describe there might be lot of infection, and he might be thinking that the hydrofloos machine may help you to controle the infection, as he advises, If it is very costly, or not available you can try other dentist. I to my patient with such symptoms prescribe ofloxacin, ornidazole, and antiinflamatories. Thank you.
188,536
Stomach pain, delayed period. Taken Ipill, no penetration. Negative pregnancy test. Help
Patient: Hi,My Girlfriend's period started on 11th aug 2013. It ended on 15th aug 2013. On 16th night we just had foreplay. We wore worried about the pre-come, nothing else, we didn't have sex, neither I ejaculated. On 17th evening she took Ipill ( she also took I pill around 2 months back). Her periods were due for 9th sept 2013 and its 17th today. She gets some symptoms like stomach pain but with no periods. We even did home pregnancy test 3-4 times all came negative .Please guide. Doctor: HelloThanks for your query.As the home pregnancy tests are negative, do not worry.Even sex just after periods has very low risk of pregnancy, and foreplay further reduces this chance.the I pill can delay your normal period by a week, or even 10 days.Stress, anxiety, thyroid hormone dysfunction, polycystic ovaries - all can delay your periods too.If she does not have her period within the next 5 days, consult a gynecologist for the same.All the best.
4,882
Pain in hands and fingers, slight shivering, LFT shows high SGPT ALT, GAMMA GT. Cure?
Patient: Dear doctor, I have got my LFT report which says that my SGPT ALT is 62 and GAMMA GT is 174. Also i feel pain in my hands and fingers and slight shivering too. Most of the time i work on computers for extended hours. Pls suggest me medicine to cure these two things. Moreover in the report my test for hepatitis B and C have come out to be negative. Doctor: Welcome to Healthcare Magic, Your reports shows elevated liver enzymes, that can be due to infectious factor ( that is ruled out in your case ) and non-infectious ( autoimmune, drugs, chemicals, toxins, food, etc..).For clarification you need more detailed assessment including blood works. To reduce hand pain keep your palm and forearm in same line, straight, elbow joint must be 90 degree, back straight, shoulders relaxed, every 20 minutes stop your computer work and relax your hands, plus massage . I wish you good luck and speedy recovery, Hope this helps and I have answered your query. If you have additional queries don’t hesitate to ask. Best Regards, Dr.Mihail
59,843
Best treatment for hiatus hernia and ulcer
Patient: I have been diagnosed with a hiatus hernia and stomach ulcer. What is the best treatment ? Doctor: Hi, Thanks for query, Go for long course of tab Omiprazole one tab twice a day for 3-4 weeks. Do not over eat,take light diet in the evening and early. Do not sleep immediately after meal.have light walk or sit for a while. Avoid fried,chillies and junk food. Take plenty of milk. Avoid stress. Ok and bye.
95,609
Do I need a surgery for the half inch glass in the right foot since 2 weeks?
Patient: I have a one and a half inch piece of glass in my right foot. It has been there for appx. 2 weeks. No sign of infection. Just wanting a second opinion, do I have to have surgery? Do i have to be under general anesthesia? I have been to one Podiatrist so far. Doctor: HI THERE THANKS FOR ASKING THIS ON HCM, it is better to consult with a surgeon and get it removed. if you have not taken a shot of tetanus then first take it. if you leave this glass piece as such it may cause infection of the wound soon which may lead to many complication. there is no need of general anaesthesia for this. hope this helped you.
39,543
Could the cotton inside the filling be the reason for infection?
Patient: Have a tooth infection with a tooth that has root canal work. Filling came out last night causing more pain. Dentist removed top of tooth today and rest to be taken out when infection cleared but he found cotton wool under filling? Would this have caused infection ? Doctor: Hi Dear,welcome to HCM.Understanding your concern.As per your query you had reinfection in the root canal area and due to that you get that teeth extracted, while extraction cotton wool find under filling which was not a source of infection as cotton pellets are placed in teeth to help in the quick removal of temporary fillings. It helps the dentist determine that the temporary filling has been removed and the bottom of the tooth is being approached. In most cases the pellet is removed prior to the placement of a permanent filling. The cotton pellet itself is not a source of infection since they are usually sterilized.Bacterial build up under tooth area is the source of infection. Some times root canal treatment fails and extraction is the only treatment option in that case. I would suggest you to take antibiotic such as Ibuprofen to prevent further infection and get also extracted whenever infection subsides and go for tooth implant.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
181,648
Is pregnancy possible with precum but without ejaculation?
Patient: I and my fiance got intimate the other day, he did not ejaculate but the pre cum did come out. He did not masturbate in last 2 to 3 weeks before we got intimate. I am scared that ill get pregnant. I hv my date on this 7th april. I also go to gym regularly frm last 10 days. Please tell me wheathr icn get pregnant? Also he did not penetrate, just a slight physical contact with my anal part. Doctor: Hello dearI understand your concernYou have non penetrative sex and just contact with the anal part.PRECUM cause pregnancy but penetration is require.To become pregnant, full penetrative sexual intercourse or intercourse up to vaginal intoitus in fertile phase of period is require.So in your case there is no chance of the pregnancy, if you sure about non penetrative sexual intercourse.Avoid stress, take healthy diet, drink plenty of water and do regular exerciseHope this may help youContact further if follow up neededBest regardsDr. Sagar
3,070
Suggest remedy for blocked nose and coughing
Patient: My baby boy is three montha old.. Weight recrorded yesterday is 6.6kg. He is having blocked nose and coughing/sneezing from past few days. Not able to brestfeed and have been crying a lot most of times.. Have also become very irritated . Yesterday went to doctor.. He said baby have slight symptoms of pneumonia. Suggested below medicines for three days C Tax -O dry syrup.. Two times a day Asthalin syrup.. Three times a day Nasoclear.. Six times a day Please suggest. Doctor: Hi,It seems that he might be having mostly upper respiratory tract infection giving rise blockage of nasal air way causing this problem.Continue with antibiotic drops.Avoid giving asthalin syrup if there is no wheezing as asthalin some times gives cryning due to restlessness caused by bronchodilator like asthalin.Put Otrivin pediatric nasal drops.Give some decongestant drops.Ok and take care.
177,677
What causes inflammation in the knees of 10 year old?
Patient: My 10 year old son has been having inflammation/pain in his knee. He is about 20kgs in weight (always slow weight gain) with multiple food and environmental allergies. Besides, he also has digestive issues (excess smelly gas when he eats certain foods), and also High Functioning Autism. His doctor would like to rule out arthritis and has ordered some tests. How does homeopathy help children with auto-immune issues. My son has been on Homeopathy since he was 6months old for various symptoms. Thanks Doctor: Dear parent,As per your description, the child has multiple problems. Kindly go ahead with investigations and required medication.As far as homeopathy is concerned, you may try some one good, but they always say that initially symptoms will flair up, and they do. Which is not at all good for any child. They also ask to stop any medication you are giving at present which may again be a problem for you and the child. If there is no relief from homeopathy, then you will have to start from zero again. For digestive problems your doctor and dietitian shall be of help.
165,114
Can a ribcage injury cause muscle detachment from the bone?
Patient: I injured my ribs (Upper left side under arm area) approx. 4 weeks ago. I assumed it was only a severe bruise, it had been feeling better, and I had been continuing to work out lightly with Cardio and some ab work, suddenly it feels as bad as it did when it happened. No x-rays taken, is it possible to pull or detach the muscle from the bone? Doctor: Hello, Rib fractures may not cause muscle detachment, but the movement of chest wall movement became paradoxical. So unable to maintain negative pressure in the rib cage lead to dyspnea or pain and delayed fusion, etc.. The severity depends upon the how many ribs fractured and how damage accrued. So, please get it done chest X-ray, then consult your orthopedician he will examine and treat you accordingly. Hope I have answered your query. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu , Internal Medicine Specialist
125,816
What are the reasons behind of a failed IUI?
Patient: i am 35 years old. 55 kg and 152 in height. no medical history. tried iui with clomide with GP - 3 unsuccessful attempt. i just did my iui with injectables on the 12th sept with a gyne, had spotting on the 22nd and 23rd and had my period on the 27th. just went to the doc today (3rd day of my period). thought of doing iui but could not as there were still follicles. what could be the cause of the failed iui? Doctor: Hi there, I have understood your concern.. I will suggest you the best possible treatment options. 1. First of all do not panic. 2. I will suggest you to get post menstrual HSG - hysterosalpingography done. This will help to know about the patency of the fallopian tubes. Before going for next IUI, please ensure that you have patent fallopian tubes. This could be one of the reasons for not getting the results. If you have PCOS then you need to take meticulous treatment for the same to get optimum results. 3. As such there is 15% to 16% success rate in IUI. Means one out of six women or cycles get pregnancy results. If needed get laparoscopy and hysteroscopy done within first ten days of the cycle. Please seek help of your treating gynecologist. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar
1,661
What causes fever with body pains?
Patient: Dear Sir, This siva from chennai. last two days i have been suffering fever and boady pains give me our valuebuale advice. Thanks and best regards shiva +91 0000 Doctor: Hi, You probably have some sort of infection. I can not comment what sort of infection it could be. My advice to you is to just monitor your symptoms and fever and take regular acetaminophen for fever and body aches as most of the times patients get viral illnesses which can be managed symptomatically. Take plenty of fluids to avoid dehydration. If you think its not settling with above mentioned remedies then go to your doctor to run some tests for other possible things like malaria, typhoid etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician
193,459
Is taking antibiotics for swelling in penis frequently be a matter of concern?
Patient: Hello Doctor, my son 5yrs old been advised by doc to go for circumcision cos of frequent penis swallon. i feel that he's too small to go to this surgery and would like to delay the sugery but the problem he has to take a strong antibiotic everytime the penis swallon. is there any harm if he takes antibiotic frequantly? Please advice. Thanking you in advance. Doctor: Hi...unless we find out the cause of swelling as infection, no need to use antibiotics. Now a days we use Efficort cream for external application to resolve the issue of tight prepuce. I suggest you consult your pediatrician regarding this.Regards - Dr. Sumanth
165,596
Suggest treatment for musculoskeletal chest pain
Patient: So I've been diagnosed with Musculoskeletal chest pain, and I've told my doctor I experienced a bit of trouble breathing but there are days where I can breathe normally after a bit of exercise. I was also wondering if that could be the reason for my heart feeling as if it were beating faster, for example I went bowling yesterday and my heart would feel like it was beating faster and I would have to rest after a few games of bowling. This usually doesn't happen (faster heartrate from doing small activities) to me. I was wondering if this would go away soon enough or if there are any treatments, I was told to use a heating pad and I guess that helps a bit. Thanks! Doctor: Dear , Musculoskeletal chest pain has no relation to fast heart beats , it may be due to anemia or generalized fatigue .Diclfenac Sodium 75 ( Voltaren ) once daily for 3 days will treat your chest pain combined by a muscle relaxant and get away from cold air .you may need to visit your doctor to check out the cause of fast heart beat but don't worry , it will be a minor cause and simple treatment will push it away .Thanks
24,008
Can I have laser therapy for facial hair removal after taking femilion?
Patient: hi i am a 24 year old girl and undergoing laser therapy for facial hair removal. the skin specialist had prescribed me to get the hormonal tests done. i have been prescribed with femilion tab as hormonal suppresent after the testosteron level came out to be 1.04 Doctor: Lasers for hairs only tend to respond when hormonal baalnce is correct.As testosterone level in your report is more,it is always advisable to take tablets and then go for laser therapy.
8,271
What is the survival rate with last stage of renal failure?
Patient: 78y old congestive heart failure, severe breathing issues, three time breast cancer survivor on meds, high blood pressure, high cholestrol, diabetes, stage 5 renal failure 15... is dialysis really going to improve or destroy quality of life she has left?? and what is life expectancy on dialysis if she can have it Doctor: HiThanks for choosing HCM. Dialysis will improve some of her symptoms and the shortness of breath will definitely decrease after dialysis but based upon her previous history I suggest you to manage her with medical management.RegardsDr.Alekhya
46,804
How can i stop belching while deep breathing?
Patient: my chest x-ray shows i have a partially colapsed left lung and i guess i'm adjusting to it but i still feel a pressure(fullness) on the left side and i belch when i try to breath deep. i'm 5' 3", 249 pounds, and except for allergies and asthma i am healthy. what can i expect and how do i stop belching? Doctor: Hi,Belching is way of body to expel out air from stomach whether it is due to excess swallowed air or produced because of food digestion or acid reflux or gastritis etc.During deep breathing some amount of air get swallowed in stomach through esophagus.Your deep breathing exercises is good for your lung but whenever you take a deep breath, it must be taken with your nose only because even slight open mouth will allow the air to get swallowed and lead to belching. In addition,you take out breath through nose very slowly while keeping lips pursed.Eat high protein and easily digestive food rather than carbohydrates or fatty foods.Drink much of water will reduce belching.Consult gastroenterologist if there is any underlying stomach problems like hiatus hernia,reflux esophagitis, gastritis, gastric ulcer.Take care.
99,539
What causes severe shivering in hands?
Patient: shivering hello doctor... my name is irfan, i am from india, i am 28 years old boy, my height is 5"9 weighing 69 kgs.. i am having a problem from the last 4 months.. my hands shiver, it was too much earlier but its increasing day by day, now every is noticing this problem and i feel tired after going up by stairs or doing any hard work, i was quite good earlier... could you please suggest me whats wrong with me Doctor: HIThanks for using healthcare magicI think, you have anxiety disorder and in that case, you need antidepressant and low dose benzodiazepine. You should consult a psychiatrist for proper management and diagnosis. You can also try relaxation exercise. In case, you need further help, you can ask.thanks
209,843
Had sex during periods, my husband ejaculated inside. Any chance of getting pregnant?
Patient: Hi I just wanted to know i had sex with my husband. Before that I started with my bleeding but not very heavy, it usually takes me 2 to 3 days after my bleeding to get my actual period. My husband usually ejaculate outside but this time he failed. Any chance of getting pregnant. Mg bleeding slowed down is it because I am thinking too much about it or my bad luck I got pregnant Doctor: Hi, Welcome to HCMYou had sex with your partner few days prior to expected date is considered safe period as ovulation take place approximately 14 days prior to start of your period.Hence chances of pregnancy is almost nil but it is not 100% But to depend on ejeculation out side is very risky and you can get pregnant in any cycle. Now what can you do is to wait for your period and if it is delayed take urine pregnancy test and further action depends on result if it is negative and you get period then it is fine, if positive then consult your Gynecologist to continue or go for MTP. Once you get your period you should use one of the more reliable contraceptive methods in consultation of your gynecologist like OCP,IUCD, or Barrier methods like condoms. Hope this information is useful to you. Take care Good Luck.
5,466
What causes sudden memory loss?
Patient: father came home from a day of errands, met with a client, and so on... he has zero memory of the entire day & doesn t know how he got home or even where I live, but says he feels fine. Just can t remember anything from this morning on. This is a 59yr old healthy male. Doctor: Hi there. This could be setting in of Alzheimers disease. Kindly get him seen by a Neurologist as soon as possible. Help him around the house and praise to make sure he is safe.
144,787
Is it safe to nebulize a child with blocked nose?
Patient: My son is 22 months and is always suffering from cough and cold and is unable to sleep at night due to blocked nose. Last time doctors suggested nebulisation for him which helped him a lot and the cough and cold also subsided fast. It is advisable to nebulise him when he is having severe cough and cold. In that case what is the asthalin dosage like? Doctor: HiYou may nebulize with Asthalin 2.5 mg thrice daily. But if child shows no improvement then visit a pediatrician for clinical evaluation and step up therapy.
167,118
How to control high sgot and sgpt?
Patient: I had problem 12 years ago high sgot and sgpt, now it is back again because I found above my hand, in top of finger is become redish and also redish in my face under my eye, same mark like that time. how I can control it, I am 43 years, alcohol may be once a month , no smoking Doctor: hi, We need some more information. SGOT and SGPT are markers of liver disease. We need to know what is causing their rise. have you undergone HBSAG and HCV testing? are you addicted to any narcotics? if you can post the pictures of your fingers and face which have turned colour, we could help. All the best.
57,532
Suggest treatment for shivering
Patient: Hey, I m a 19 years old student. I weigh 56 kgs and am 172 cms long. My periods are regular and I exercise regularly. Whenever I am really excited on occasions before I go to speak on the stage or attend a function, my hands start shivering uncontrollably. It causes me a lot of embarassment as when I have to hold the mic in my hand, it moves vigorously much to the notice of the audience. What can I do to stop this shaking? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Its a phobia disorder and will require graded exposure and systematic desensitization. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy                                        Wish you good health,Kind regardsDr. Srikanth Reddy M.D
208,970
Suggest treatment for renal cell carcinoma
Patient: Hello, My father recently had an mri which showed several tumors in his spine which cause spinal compression after extreme back pain and loss of leg/foot sensation. They performed a spinal decompression surgery and removed several tumors. They said his spine looked like swiss cheese. The biopsy of the tumor came back as a plasma cell neoplasia. A week later, they did a bone marrow biopsy and when that returned there was no sign of multiple myeloma in the marrow. There are lesions in his kidney, ribs, spine and liver. They did a biopsy of the kidney and that lesion came back as renal cell carcinoma. They told my father they have never seen anything like it before. We could use any information you can give. They will be doing a biopsy of the rib tumor next week to determine what that is. Any thoughts?? He has several broken ribs due to the tumors on his ribs that is causing extreme pain and he is on pain patches for that and also morphine. Doctor: Hello and welcome to HCM.As an Urologist, i can fully understand your concern.R.C.C.(renal cell cancer),with spread to multiple sites, is advanced cancer.You've not mentioned his age and if he's on any other medication.There should be no role for doing a rib biopsy, as it'll increase his pain.It doesn't help further treatment in any way.All he needs is pain control analgesia and rest, in his surviving time.If you've any doubts, send his reports, as a direct question to me.Dr.Matthew J. Mangat.
47,083
What causes soreness in chest area radiating to armpit?
Patient: I m a 36 year old, 5 2 , slightly overweight female. Over the weekend, I went on a hayride w/my kids. Since I am so short, I literally had to pull myself up & climb on & off the trailer which we rode on. I was on & off as I was tending to the kids. Sunday, I woke up w/soreness in my left chest area--to the left of my breastbone (about armpit level), which somewhat radiates outward toward my left arm pit. I am able to carry on my normal, nonstrenuous daily routine. However, if I bend over & lower my left arm while in the bent over position, the pain worsens...especially closest to my breastbone. I can run my fingers along the area & somewhat feel the soreness. I see no swelling or bruising. Also, it is painful in the area when I cough. It feels like a strained or pulled muscle? (it does NOT feel deep within my chest) However, I am also a cervical cancer survivor. I just finished chemo, radiation, & brachytherapy in early Sept. and was given the all clear (cancer free) on Sept. 19. Everyday, I live w/the fear of the cancer returning. I notice every little twinge and automatically fear its cancer related. Since this chest pain started right after Saturday night s strenuous activities, I would like to think the pain is most likely related to over doing myself. I do think I lost strength while going thru cancer treatments as I recently had strained muscle in my lower back. The pain from the lower back strain went away within just a few days, tho. Today is my 4th day of having this type of chest discomfort. Does it sound like the chest pain is related to climbing on & off the hayride? What could it be? COuld it be a strained muscle of some kind? If so, when should I see improvement and is there anything I can do to expedite the healing? Motrin does help the pain, btw. Doctor: From the clinical history you give here I suspect it may be due to Herpes sister reactivation in these areas or it may be a musculoskeletal pain. Don't worry its not related to cancer. Anyway you must visit a doctor to not miss something you missing to mention here. Get well soon?
136,265
Have hair-fall and red scars on hand. Have lupus and am anemic. Treatment?
Patient: Hi I am Sandra. I am ecuadorian but now I am living in Lexington because I am studying in UK. I am 25 years old and I have LES LUPUS SO I would like to know if this disease cure. I have lupus from I was 18 YEARS, and I was receiving treatment in my country, but now i´m not feeling well, my hair is falling and my hands have red scars and they get purple with the cold , some people advice me take vitamin E but I would like to know what kind of vitamin I should take because also I have anemia . I will be waiting for your answer, thank you Doctor: Hi You need to be on proper treatment for lupus. For anemia you she take iron and folic acid.
83,049
What could cause worsening of psoriasis after delivery?
Patient: I have a history of Psoriasis. Condition improves when i got pregnant. When giving birth, i used Epidural. 24hrs later, my Psoriasis worsen with burning red patches visible the whole body. Is it the after effect of Epidural or its my skin condition worsening due to hormonal changes after birth? Doctor: Hello. Thanks for writing to us at healthcaremagicMost likely it is an allergic reaction to a drug. Having said that, it should be confirmed by a visual inspection by visiting a skin specialist.Underlying psoriasis needs to be taken into account since psoriasis is known to worsen/flare during pregnancy and immediate postpartum period. This flare during pregnancy and immediate postpartum period is known as "Impetigo Herpetiformis" and is usually associated with fluid filled and pustular lesions. There is considerable itching and burning sensation in Impetigo herpetformis.Therefore, you must visit a dermatologist for a confirmatory diagnosis and for excluding the possibility of Impetigo Herpetiformis.I would suggest an OTC oral antihistamine e.g cetrizine 10 mg once daily.Topical you may use a soothing lotion e.g calamine, twice daily.Regards
12,344
Suggest treatment for memory loss, confusion, chronic sinusitis with a history of fibromyalgia
Patient: I ve had Fibromyalgia for about 25 years now and am doing so bad it s scary. I ve changed my diet over the years and eat really well, vegetarian, no nightshades, all organics, well balanced. I meditate and do Yoga and started pool therapy but I become a wreck, even when I take it easy. My mind is going. Memory loss and confusion and balance is awful. About 4 years ago I had a fall and got Complex Regional Pain Syndrome to go with it. My chronic sinusitis has become unbearable with roaring in my ears and insane sinusitis. At 58, I m getting scared my mind days are numbered. Sincerely, R. Jane Gagner Doctor: Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to memory problems (dementia, depression, etc). For this reason, I would recommend consulting with a neurologist and performing cognitive tests and a brain MRI. Some blood lab tests ( complete blood count, thyroid hormone levels, vitamin B12 or vitamin D plasma levels) are necessary to investigate for possible metabolic conditions that may mimic this clinical situation. In the meantime, I would recommend discussing with your doctor on the possibility of starting duloxetine therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
140,986
Severe upper back pain spreading to ribcage, severe at nights. Solution for pain?
Patient: i am 27 and have had seere upper back pain which spreads to my ribcage for the past 12/13 years.the pain is very severe and only tends to come every 3/4 months at night,i cannot sleep as no psition is comfortable and i find when my daughter punches me lighty the pain tends to fade,but comes back when she stopps please help Doctor: u have fibromyalgia , this can be controled by proper sitting , working habits and for pain u should take tablets with pregabalin for a duration of a month
113,228
What medicine should I take to avoid damage due to a heart attack?
Patient: i am travelling to nepla and far from doctors, i am on Ramapril 10mg, but wanted to know if and emergency occured a stroke or heart attack what should i take with me that i could use to help prevent further damage if i experienced this...i have spoken with my doctor here in uk biut would like a second opinion, thank you, i was told something about Asparin? and some other tPA drugs by my doctor here in uk Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The best drug you can keep with you is asprin which you can take regularly too in low dose.Another drug you should keep with you is any sublingual nitrate which will help you in pain and acute myocardial infarction. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Muhammad Adnan Iqbal
18,826
Suggest treatment for itchiness on the penis
Patient: i am 31 years old. when i was 7 or 8 i had an operation to bring down an undescended testicle. i have lived with this my whole life but it seems to be getting worse and more painful as i get older. my right testicle hangs normal, inches from my penis shaft. my left testicle is basically right on the base of my penis shaft, and seems to have gotten closer and tighter with age. because the "wiring" of my testicle is so short it curves my penis to the left, and i think it has kept me from "reaching my full potential" since the left side is so tight. When i get erect the more excited and blood engeorged i get my left testicle pulls back inside of me and to the left of my penis shaft. this is very painful and i dont remember it being so painful or if it even pulled inside of me when i was younger and first became sexually active. what should i do? Doctor: Thanks for contacting HCMYou are concerned about having an undescended testis. From your description is sounds like the undescended testis is not fully extended and giving you discomfort. From this I would recommend that you see a urologist and see if there are any surgical way to correct this problem. The urologist maybe able to extend the length of the testis.Hope this answered your question. Please contact HCM again with your medical concerns and questions
201,733
Stones in kidney, very painful. Had an ultrasound. Taken medication. What can provide relief?
Patient: Dear sir,I suffering from stones in both my kidney. When i make ultrasound i got it 14mm,12mm & 7mm in my left kidney & 4mm in my right kidney. I use many medicine but still i did't get relieve, last some days i got pain in my left kidney. Just i want to ask it's effect or damage kidney if stone size is 14mm,12mm and 7mm in left kidney. Please i waiting your early reply is truly appreciated. Thanks Mahboob Idrisi Doctor: Hello mr Mahboob Idrisi,You have multiple kidney stones on the left and the largest of which is 1.4 cm. I would suggest getting an operation to remove your stones. Kidney stones left untreated may cause infection, blood in the urine, pain in the flank areas and kidney damage. A procedure called PCNL would be ideal for you and it is minimally invasive so recovery is much faster than conventional procedures. For more details you can ask me through: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014
50,713
Thalassemia minor, tiredness, restless leg syndrome. Taking vitamin B complex. Overdose?
Patient: I am a thal minor. My iron levels were not low any previous times i checked. But i have been feeling v tired for abt a year. I researched and started taking b complex vitamins and extra b1 b6 b12 supplements . I take vitamin d also. At first i felt v healthy and my restless leg syndrome disappeard too but Lately i feel fatigued more and v dizzy most of the time. Could i be overdosing? Doctor: hiThanks for your queryi can feel your concernsyou should take vitamin B COMPLEX in standard dose.donot take extra vitamins without consulting your doctor as it has major side effects toofatigue and dizziness are the symptoms of anaemiai advise you to recheck your iron profile and if found low,then take iron supplements cautiously after consulting your doctorimprove your diet.add green leafy vegetables and fresh fruits to your dietdeworm and also add milk and calcium supplements after consulting your doctori am available for your help regardsDr.Amna
118,879
What causes greenish yellow stool with mucus in 4 months old?
Patient: My baby which has four months he has a problem in motion that is refusing sugars are ++ we consult our doctor he suggested that to stop Brest feeding and give bifilar contain solution.we did it for last six days but the motion Colorado is in greenish yellow and mucus are remined same and I gave Brest milk alternetively. Doctor: Hi...Thank you for consulting in Health Care magic.What your kid is having is not a diarrhea and is only a gastro-colic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated.When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.MOST IMPORTANTLY - 1. DO NOT STOP BREAST FEEDING.2. DO NOT USE MEDICATIONS LIKE PROBIOTICS FOR THIS.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
171,892
How is allergy usually treated?
Patient: hi doctor ? my name is varun and i am 20 height 5.8 and just facing an allergic problem which i am not able to find out from 3 years so i am having some type of allergy for which i am just eating a medicine named vozet from 3 years only this medicine make me feel relaxed so could you just help me out with something !!! Doctor: Hello Varun,Thank you for asking at HCM.I went through your history. I would like to you what kind of allergy you are having - nose allergy, skin allergy or anything else?However, I would like to make you following suggestions from your given history:1. I would suggest you allergy testing, which will help you identify the substances you may be allergic to and also how to avoid them. Avoidance of the substance one is allergic to is the best strategy for allergies.2. Vozet (levocetirizine) can treat most of the symptoms of nose/skin allergy. However, it dues not "cure" the allergy itself. So as long as you have symptoms, I would suggest you to take the drug.3. A nutritive diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) helps to improve the immune system (ans also allergy symptoms) in long run.Hope above suggestions will be helpful to you and solves your query.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.
101,055
Is ciprofloxaccin 250mg every 12 hours advisable for typhoid?
Patient: Hi,I got diagnosed with Typhoid on Monday.It s in early stage now.I am almost 23 years old and have mass of 52 kg, 5 4.I am being treated with ciprofloxaccin 250mg every 12 hours.Can I eat boiled eggs,pizza without meat?Is my dosage appropriate?Thanks Doctor: Hello, You should take ciprofloxacin at least 2 hours before or 6 hours after dairy products or with a lot of calcium (such as calcium-fortified juices). Any other food is fine to take with ciprofloxacin. Also, normally I would treat typhoid with 500mg every 12 hours for 7-10 days if you were not having any severe symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician
85,326
Does Ginette 35 interfere with Ipill effectiveness and lead to pregnancy?
Patient: My query is I was advised to take ginette 35 on the 5th day of periods. I forgot to take it. Today I had intercourse with my boyfriend and also it is the 8th day. I have taken 1st pill of ginette 35 today. Can I have a risk of pregnancy? I am taking this medicine from last 2 months. This is the 3rd month. Reply asap Doctor: Hi, I think there is a risk of pregnancy because you have missed the tablets in the initial part of your cycle. So, ovulation can happen. Either you can take some emergency contraceptive within 72 hours or you can wait for your periods. if periods get delayed, do a urine pregnancy test to confirm the pregnancy. If positive, consult a doctor if you don't want pregnancy. Hope I have answered your question.
223,499
Suggest remedy for infected bump with weakness and dizziness
Patient: I broke my leg compound had 3 plates in.it got badly infected 2 different types stay a week with antibiotics then sent home with levofloxacin for 45 days. Been home 2 weeks now and it swollen bigger then before the infected bump back and another forming i fell sick week dizzy disorented and feverish. Should i call 911 for ER or wait a week to see my doc Doctor: Hi I did review your concernI would recommend you to call the emergency services and go the ER and get immediate attention. your dizziness can be due to infection spreading into blood called as sepsis which is a life threatening condition and needs immediate attention and fluids and antibiotics administration.I hope this helps.Wish you all the best.Thank you for choosing healthcare magic.
33,619
What causes weight loss while treating diabetes?
Patient: I have a friend that takes: carvidolol, furosimide k-dur, niphipine calcitrol, creator,novalog, LevimerShe takes nothing with food a d usually eats hours after taking meds. She has kidney disease, acid reflux, getting ready for surgery next week, lost a significant amount of weight in about 2.5 monthsDiabetic, hypertension etc. Advice for her Doctor: Hello, Thanks for the query.If a person has uncontrolled blood glucose (hyperglycemia), then, a considerable amount of glucose is lost from the urine as kidneys are not able to reabsorb it. Persistent loss of blood glucose through urine does lead to weight loss as well as persistent weakness and tired feeling. Since she has chronic kidney disease, which also is a possible complication of diabetes only and hypertension which again contributes to kidney disease. In such situation it is very essential for her to achieve a greater level of glucose control. That will help in controlling kidney problem. Even for better outcome of the surgery strict glucose control is absolutely necessary. Off course during surgery and post -operatively for a short period she will be on Insulin for better glucose control. But later again strict glucose control is a must. Thanks.
191,730
Is pregnancy possible through non penetrative sex?
Patient: Hello. I have a concern. I am 22 years old. When I was 12, I had a surgery to create an opening in my vagina in order to my menstrual blood to finally be released. Any who, I am a virgin still. Recently, my boyfriend and I got too physical. My boyfriend started “humping” me. I was wearing thin lace underwear but he was naked. Then he pointed out that my underwear was wet. He was claiming that I was me who was wet (I was not having an orgasm, I guess I was still in the process of reaching that point). I was saying that he had gotten my underwear wet…bottom line, we didn’t know who’s discharge it was. I was pretty sure there was no penetration (since I was wearing underwear of course). But since my underwear was wet (whether the discharge was from me or my boyfriend), is there a possibility that I can get pregnant? Is that surgery that I had back when I was 12 increase my chances of getting pregnant due to surgical opening?Another question? Because I had that surgery, does it mean that when I lose my virginity, it wont hurt as much? Can someone tell me what kind of condition I had? And what anatomical part it is that was actually surgically opened to release menstrual blood? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.At that time if they did not suture back your hymen then you already lost your virginity. It is just a thin layer of tissue called hymen which determines virginity. They at that time probably would have kept an incision over your hymen so that you can get periods. Now, if you are concerned about pregnancy then sperm travels in liquid media and it cannot travel through clothes.Only, if semen went inside your vagina then only it is possible.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sheetal Agarwal
274
What causes swollen lymph nodes in the groin area?
Patient: Hello, I am 26 yrs old married female. My height is 5 feet 4 inch and weight is 65 kgs. I am concerned about swollen lymph nodes in my right groin area, between pelvis and right thigh. Could you please tell me whether its normal?Please tell me your opinion asap. Thanks so much. Doctor: Hi,Swollen inguinal lymph node indicates that there might be having some infection in near by area like genital tract or skin surrounding.Consult your doctor and get examined.Ok and take care.
34,567
Suggest ayurvedic or homeopathic medicines for liver cirrhosis
Patient: Namaskar, My father is suffering form cirrohsis (Hepatitis C). Is liver biopsy is required. And please give me details whether it can be treated by Ayurveda or Homeopath since Allopathic treatment have so many side effects and I think at the age of 71 it is very difficult to sustain such therepy. Doctor: There are many good medicines for Yakrit rogas or liver disorders.Pls give more details about the symptoms and the current status of the liver function. An USG and a complete liver function test would be good enough. After seeing through the results a detailed medicine can be prescribed. For the initial support for the liver, i would suggest to give him the following medicines1. Sudharshan choorn tablet 2-2-2 BF 2. Herbitars tablet 1-1-1 AF 3. Drakshadi kwatha 10ml twice a day Before food.
97,542
Suggest cure for dry skin
Patient: Sir, I am working in abudhabi as an IT Engineer. My problem is skin allergy. Itching and rashes coming my upper part of the body. Ears,neck ,back and near the waist. It happens 2 times in last month. my skin is dry skin. What may be the cause of allergy ? Doctor: Hello,Welcome and thanks for posting your query to the forum.I can understand your concern for the dry skin and skin rashes. After reading your query it appears that you have contact allergic dermatitis due to various causes.The itching and skin rashes could be due to variety of factors including environmental factors and all the things coming in contact in day to day life.IN your kind of patients I generally go for a "Patch test" to determine the various possible causes of the sensitivity and allergy to skin.I prefer to give a topical steroid and an oral steroid with antihistamine such as cetrizine to completely cover the allergic phenomenon.Additionally moisturizing the skin with plenty of moisturizers and humectant helps a lot in reducing the dryness.I suggest you to meet a dermatologist to get further guidance.All the best.
9,342
What causes twitching sensation in the calf?
Patient: Good day I am curious about some troubling symptoms I have been experiencing recently. Generally òver the past 4 years I have been experiencing widespread fasiculations that vary in intensity and seem to correlate with my anxiety level but never really go away. Upon seeing a Dr. about them he did a few strength test and dismissed them as benign. However for the past week and a half I have been having a more localized twitching, in the exact same spot in the paroneal area of the left calf. This twitching is very slight and very persistant. As of now I don t seem to have any weakness however I do have some mild widespread aches as well as the normal widespread twitches. I also have a slightly swollen and tender inner ankle that presented much earlier and may or may not be related. I take vitamins so I m sure its not a defficiency. However an interesting observation is that while my regular fasiculations continue regardless the persistant one in the calf seems often to go away or at least become invisible so to speak when laying down with legs elevated, standing or flexing the muscle or sitting in a cushioned chair. Conversly it seems to be intensified by sitting after walking, any ecercise at all, or sitting on a hard surface. I am dreadfully scared of ALS and obsessively examine the twitch, manipulate it and perform strength tests. None of which alleviates my anxiety. Doctor: Hi, Consult a neurologist and get evaluated to rule out neuromuscular causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
126,264
Could slight pain and discomfort be symptoms of hernia?
Patient: I had two hernia repairs within the last 18 months - one direct and then an indirect one. Last one done four months ago. I have slight pain/discomfort above the direct one. Not sure I feel another hernia or if I just have pain (1 on scale of 1 to 10) as a result of light workout I did a week ago. Doctor: Hi,It seems that due to adhesion formation at the site of hernia repair might give this problem.If there is massive abdominal muscle weakness or laxity does give recurrence.If bulging and discomfort is there consult surgeon and get examined.Avoid lifting heavy weight, constipation and cough reflex.Ok and take care.
66,951
What causes left-sided chest pain despite taking Ibuprofen and Pravastatin?
Patient: I started having pain on the left side of my chest around 8 hrs. ago. I was lying in bed when I noticed the pain. Pain has gradually gotten worse and is most painful when I breathe. Pain is better when sitting up rather than lying down. I tried ice pack and ibuprofen with no improvement.I am currently on pravastatin medication and have been for a few years. I also have schwannomatosis but never had these symptoms before.What should I do? Doctor: Hello,Left sided chest pain should always be evaluated for heart diseases first. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry for heart diseases. Your pain is associated with breathing, so pleurisy (inflammation of pleura) should also be evaluated.Get done a chest x-ray. If the chest x-ray is normal then no need to worry for pleurisy. Start calcium and vitamin d 3 supplements as deficiency of these can also cause similar kind of pain. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar
71,274
Suggest remedy for diarrhea and nappy rash
Patient: Hi there, my son is 7 months old and incredibly restless. He is pooing a lot although it s not watery it s diarrhoea as he s going so often and smells really sour and is green. His bum and front are raw. It came up very suddenly in the past two days, we ve never had a problem with nappy rash before. No fever but very restless, fighting his bottle and stiffening when I try to cuddle him. Thanks Doctor: HiThanks and welcome to HCM .If alteration of color and sour odor is present then it. is diarrhea .Ofloxacin + ornidazole combination syrup twice daily for 3-4 days will control diarrhea .Sporolac sachet one daily to prevent diarrhea Continue feeding as usual and give plenty of fluids. to prevent dehydration .Colimex drops 3 times daily to control stomach pain and restlessness .You may apply some emollient ointment for the raw area in the perianal region.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
172,917
Should pulmonologist be consulted for constant, thick cough from the throat?
Patient: I have a cough that starts at the bottom of my throat, it tickles and I begin to cough. No chest pain, no anything below the bottom of the throat but the coughing is hard. Then I have a constant drip in the back, sometimes is very thick but no sinus pain or infection, no fever. I have had this condition for a long time, more than 6 mo, I have had lung x-rays, all clear. been checked for allergies, asthma and nothing. My question is: what kind of doctor should I go and see, lung doctor? ENT? allergy? Doctor: Thanks for the query. The symptoms you mentioned is known as post nasal drip. You may meet any of the two either pulmonologist or ENT surgeon. Both can help you. Or visit medical college type of settings where you can be evaluated by both. Best wishes
81,171
Are vitamins prescribed to diagnose ADD?
Patient: I think I have ADD so I went to my family doctor and she asked me a few questions and said she felt that my behavior towards some things was not normal, she was a little inclined to ADD so she prescribed me some vitamins (acutil) and said there were no miracle drugs . She said that after a month of taking them I should schedule another consult and visit her. To be honest I don't feel any different taking the vitamins. Is this normal procedure to an ADD diagnosis? Doctor: Hello,Vitamins can not cure ADD. The first point is whether the diagnosis is accurate or not. I would advice you to take a second opinion from a psychiatrist. For ADD, stimulant medications are drug of choice. So get a correct diagnosis from your psychiatrist.Thanks.
206,762
What are the chances of survival of a cancer patient?
Patient: The doctor said my Aunt has stage 3 Cancer. To quote him "I would favor a primary Duodenal tumor due to the recent finding of tuulovillous Adenoma on Mucosal Biopsy during her endoscopy. It also said the took 5 biopsies yet did not find 1 cancer cell and they said it is around a main artery so they can not operate. What are the survival statistics with this ? Doctor: Thanks for your question on Health Care Magic. I can understand your aunt's situation and problem. Any tumour which is around major arteries is inoperable. At the same time chances of hematogenous spread is also high and hence chances of metastases are also high. So prognosis in her case is poor. Five year survival rate is 40-50 %. Usual life expectancy is less than 3 years. Treatment options are palliative chemotherapy, radiotherapy, nutritional support and pain management. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. Thanks.
153,545
What causes burning sensation behind the ankle after twisting it?
Patient: Hi I twisted my ankle about a month ago and still feel some tendernesss around the anke if I press on it. The only thing new is now when I am standing or sitting occasionally I feel a burning sensation around the ankle area towards the back of my leg. Should I go in for x rays or treat it with ice again? Doctor: Hello, It looks from your details that you had a sprain of ankle..The present tenderness may be due to presence of mild edema post healing,which will gradually disappear. This pain may take 2 more weeks to disappear.The burning may also be a part of healing process.At this stage there is no need of doing ice fomentation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari
119,629
Suggest treatment for diarrhea in a child
Patient: Hi i have a 6 month old daughter and i want to know if I can give her nido I have tried enfamil newborn but she trowup and had diarrhea when she was born and changed it to similac and was having diarrea when she finished drinking her milk and changed it againg to gentlease didn t work either was having diarrea and changed it to soy prosobee since 3 months and since she s been constipated I hate seing my baby crying when she want to poop and I was wondering if I can give her nido or some other formula for her sensitive stomach? Doctor: Hi,Thank you for asking question on health care magic.Repeated changing of formulas will cause problems,stick to one formula.Formula feeds usually cause constipation unlike breast milk.Add fresh fruit juice to you menu to ease constipation.This is the time to introduce milk cereal mixture along with formula e,g., Cerelac.Hope this answer will serve your purposePlease feel free to ask any more queries if required.Take careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
174,166
Suggest treatment to cure sinusitis
Patient: hello,i am sorry my english isnt good,i have a small boy,he is ill 5 weeks,he has sinusitis,he drink amoxicillin 125 mg,7 days,it didnt help,i asked a doctor today to change it,but she didnt,it doesnt help after 7 days,please can you help with it? thank you Doctor: Hi, I had gone through your question and understand your concerns. You should be worried but not too much.I see similar cases amongst children who visit my clinic. I advise him to drop: Nasoclear, then after 15 min Ciprofloxacin 3 drops in nose 3 times ,otrivin 2 drops twice a day before sleeping.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health
172,800
What could lumps on septum with sensitive nostril suggest?
Patient: Hi I am a 27 year old female and I've discovered a lump on my left septum. It doesn't hurt when I touched it but my left nostril is more sensitive and it get runny at times. I already had sinusitis since I was young but not severe. Just wondering that this could be. I will be seeing a doctor very soon. Thanks a lot. Doctor: HI,Dear,Thanks for the query to HCM.1-I have studied your query in depth.2-DEar,IN my opinion, this left septal nose-lump which doesnt hurt on touching but runs down when touched, could be hypertrophied inferior nasal turbinate/or choncha.3-history of sinusitis since childhood,confirms this diagnosis of the nasal lump with sesitive nostril.4-Consult Surgeon who would fix the diagnosis as above or other cause.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On HCM.7-Thnks once again for your inquisitive query.Have a Good Day..!!
64,816
I am suffering from Fainting, Diarrhea, Vomiting, Upset Stomach, please help
Patient: I don't understand what's wrong with me. Ever since 8th grade (8 years ago) I started have fainting spells. Recently they have increased and the symptoms are always the same. My stomach starts to feel upset (like I have eaten too much) and begins to cramp up. I then break into a cold sweat and become extremely hot. I will start to have excessive diarrhea and feel as though I'm going to throw up when all of sudden I get real light headed and pass out. I'm only out for a couple seconds but when I wake up I'm extremely tired and have hardly enough energy to walk. So far this year I have experienced one of these episodes about 5 times, including today. Everything happens within a matter of minutes and it's hard to predict the onset. Doctor: i have been suffering with this for years.. i recently had an episode this last week and still not feeling right.. weak and feel like need loo all time.. last time was in hospital throwing up but they couldnt find what was wrong just a bug they said. but i am still not right.. i have been trying to live with it as they not much help. did you get any more info?
96,047
Blood report shows WBC, Lymphocytes, Granulocyte, Neutrophillic Lecocytosis with mild shift to left. Sounds serious?
Patient: Hi Doctor, My wife's blood report saying WBC 25.2, Lymphocite 11 %, Granulocyte 77 %, RBC 4.41%. In remark it is said Neutrophillic Lecocytosis with mild shift to left seen. Is the report serious? Doctor has advised for Biopsy and aspiration of bone marrow. But she does not have any health issue? we are very much worried, pl advise Doctor: Hi,Does your wife have a fever or any other symptoms? What was the reason for this blood test? The interpretation of the blood test depends on the clinical symptoms and signs. Neutrophilic leukocytosis could be just due to an infection, and then it resolves as the infection is cured. Some times this might be due to problems in the bone marrow. If your doctor has suggested a bone marrow examination then you might want to go ahead with it. This will help in finding out the cause for the anomaly in her blood.
119,053
What causes red spots on face of a 18 month baby?
Patient: My 18 month old has been getting a couple of spots on his face when he wakes in the morning, they are normally gone by the next day. They are red, with little whiteheads on them. He doesn t have any anywhere else, is eating normally and running around as normal. Any ideas? Thank you. Doctor: HiWelcome to the HCMI have gone through your question. As per your description, it seems that your child has miliaria crystalline which occurs due to blocked sweat glands. It occurs more often by oils when applied during hot weather. No compelling reason to treat miliaria crystallina exists because this condition is asymptomatic and self-limited.The prevention and treatment of miliaria primarily consists of controlling heat and humidity so that sweating is not stimulated. Measures may involve treating a febrile illness; removing occlusive clothing; limiting activity; providing air conditioning; or, as a last resort, having the patient move to a cooler climate.Topical treatments that have been advocated involve lotions containing calamine, boric acid, or menthol; cool wet-to-dry compresses; frequent showering with soap.Hopefully this will help you. I will be happy to help you in any further child health related questions.Take care
171,743
Delayed periods, brown discharge with little red spots. On Mononessa pill. Had protected sex. Possible pregnancy?
Patient: I am on the birthcontrol pill Mononessa, and I have had sex with my boyfriend a few times and we used a condom and I usually get my period on Tuesday and on Sunday I noticed a lot of brown discharge as I would get at the end of my period and I have seen ocassional red spots, and the brown blood isn't even enough to fill up a regular tampon. I was just wondering if I have anything to be concerned about. thanks Doctor: Hello,The bleeding doesn't appear to be regular menstrual bleeding. It may be anything from withdrawal bleeding due to OCP's, Dysfunctional uterine bleeding.Get an ultrasound of the pelvic and consult your doctor.
4,843
Should i be concerned about recurrent stabbing pain below my right breast?
Patient: Hi, I have been suffering from tightening pain just below my right breast for almost 2 years now. For a while there the pain just seemed to disappear, but as of late ; the sharp, stabbing to constant pain comes around more frequently. I do suffer from allergy induced asthma, but have never been in this much pain and discomfort.... Cancer does run in my family....... Is it time to be more serious about this and finally bite the bullet and go see a doctor? Doctor: Hi, dear I have gone through your question. I can understand your concern. You have stabbing pain in your breast. It can be muscular pain, some chest pain or pain due to your breast pathology. If I am your treating doctor then I will prescribe you analgesic and muscle relaxant drug for 3 to 5 days. If pain remains persistent then I willask for further investigation like chest xray and memography. Then I treat according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
154,698
How can painful mouth ulcers be treated?
Patient: I have had canker sores occasionally since I was a teenager, all of a sudden, I now have at least 6. They are very painful. I can't eat or even talk without excruciating pain. I have a dr. Appointment on Tuesday. Is there anything I can do to reduce the pain in the meantime? Doctor: Hi..Thanks for the query.From your explanation it seems that you are suffering from a severe case of Apthous ULcers or Canker Sores .It can occur due to a number of common causes like of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc..If the pain is severe you cantake anti inflammatory painkiller like Ibuprofen.I would also suggest you to start gargling with warm saline solution.Gargle with a numbing mouthwash containing Lignocaine, specialised mouthwash like Magic Mouthwash is very useful if available in your area...Take a Vitamin B complex and lysine supplenet daily for atleast 15 days..Avoid spicy and hard foods..Take a soft and bland diet..You can also suck ice and do cool water rinses..In case of no improvement consult an Oral Physician and get evaluated..Hope this helps..Regards.Dr.Honey Arora.Dentist.
180,790
What is the remedy for narcissistic behaviour?
Patient: I think my estranged husband suffers from narcissistic behaviour.....became totally obsessed with himself...at the gym and yoga every day...very critical of everyone...very negative, controlling. Spends an hour in the bathroom every night looking in the mirror..is obsessed with being successful...does not appreciate what he has. Has has a few affairs....thinks the girls chase him not the other way, lies about the affairs even when corned with lots of evidence...hates the idea of people thinking that he would be anything less that a honorable man....has never shown any real emotions other than anger and bullying...always the joker to everyone else...people would be shocked at how he has treated me....verbally very cruel...what do u think? Doctor: HelloThese could be symptoms of cyclothymic personality , not narcissistic personality. You have to talk to him regarding what you feel, without losing temper or raising your voice. Some of these individuals are very shallow from inside and react in this way to cover inner emptiness.Dr Saatiish Jhuntrraa
210,732
What causes numbness in lips?
Patient: A couple of weeks ago my lower lip and chin went numb. I went to see my dentist and he sent me to a specialist. The specialist examined me and came to the conclusion that my nerves were okay, and he had no answer as to why I was numb. Please help!! Thank you. Karen Doctor: Hi karen The numbness on your lower lip and chin gives a direct suspicion on nerve damage . since you have'nt mentioned if you underwent any dental procedure , i cannot come up to a direct conclusion of what might have caused it . Also i suggest you to take a second opinion regarding nerve evaluation which will co-incide with other findings illustrating the particular nerve damage. take care
181,969
Baby with vomitting tendency and dislike for food, kindly suggest
Patient: my doc prescribed my 14 month baby Junior Lanzol (15 mg) 1/2 tablet daily and domstal drops 6 drops 3 times daily after we visited him with complaints of vomiting and unwillingness to eat. Although I have started the meds from yesterday, I am a little worried if it is safe for my baby. Please advise. Doctor: hello, Yes, Donot worry these medicines are totally safe for your child. You can give it without any doubt.
95,667
What causes swelling and pain in legs and arms?
Patient: Hello my name is Kim Love, i was in St.Croix the Virgin Islands for the month of Oct, two days before i had to leave i started experiencing swollen and pain in my feet and leg,pain in my hands and wrist, making it impossible for me to bend my fingers, or twist off any caps on bottles, sitt with my legs bended for a long period of time, along with unable to stand or walk well, i found myself holding on for support.i alos had slight chills, i was able to take anti inflammatory pills, which help relieve the symptoms and pain, but here it almost two months later iam still fighting the same symptoms. do you think i contracted the virus chikunga,(i apologize for the miss spelling) everyone had it in my dwelling, back in St. Croix, i believe i my have been the last person to contract this possible virus. i must admitted some days are better then most.respectfully, Kim Love Doctor: Sir you will need to consult a Rheumatologist to get examined and investigated of inflammatory arthritis, your symptoms are indicative, but the treatment can only b initiated if diagnosis becomes ascertain.
139,195
Did ortho kinematic imaging for spine. Preparing for a spinal fusion. Have arthritis. Have white spots. Suggestions?
Patient: I recently had ortho kinematic imaging of my lumbar spine. I am only 27 and after 2 years of every treatment possible, I am preparing for a spinal fusion and they are using it to see the stress the basic movements cause on my body. I have arthritis in my lumbar facet joints, mild spinal stenosis at l4/ through s1 and a central herniated disc at l5 s1. Flat back syndrome, Major sciatica and muscle spasms.....ortho kinematics was done under floroscopy and they noticed that since my mri, my lumbar spine is now curved, there were a lot of white spots on my left femoral head area as well as my facet joints and on my vertebrae. what are these white spots. I won't know my results till I see my specialist next month!! I will be getting a discogram soon as well. Please give me some insight!! Doctor: Hi,Thank you for posting your query.In your case, the white spots on the femoral head and facet joints may be due to inflammation, as we see in arthritis, due to accumulation of fluid (effusion). It is not a serious finding and may be treated with anti-inflammatory medications.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com
150,156
Suggest remedy for TB
Patient: hi i am male 27 yrs old. I was diagnose for lungs TB and recovered year and half ago. just few days back i had a high fever and went to hospital and Doctor told me i m suffering from pneumonia, they prescribe some medicine and still fever is not coming down. so i had sputum and lungs x-ray and the result showed TB (lungs). Can u plz suggest me the best medicine and hospital in delhi? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are mostly having relapse of tuberculosis. So better to consult pulmonologist in Delhi. You can go to AIIMS hospital, Maulana Azad hospital, Safdarjung Hospital etc. All these Hospitals have good Pulmonary medicine and tuberculosis department. Also discuss about possibility of drug resistant (DRTB) tuberculosis because DRTB is common in relapse cases. You man require total 9 months of anti tubercular treatment. Treatment includes injection streptomycin, rifampicin, pyrazinamide, ethambutol, isoniazid, levofloxacin etc. So better to consult pulmonologist and discuss all these. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
77,866
Am I fit to impregnate a woman?
Patient: hello doctor .. i recently got engaged for 3 months .. my wife started to complain of P.C.O .. I CHECKED MY SEMEN ANALYSIS TO BE SURE NOTHING SIGNIFICANT FOR ME ...SO THE COUNT WAS 115 AND HIGH VISCOSITY +++ , AND TOTAL FREE AND REPID SPERMS 30%.. AND SLUGGISH SPERMS ARE 30% AND NOT MOTILE 40%... DO I AHVE SOME INTERVENTION .. OT DOES IT ENOUGH TO HAVE FERTALIZATION.. THANK YOU Doctor: Hi, dearI have gone through your question. I can understand your concern.Your sperm count is normal. but your viscosity is high with low motility. You have more numbers of sluggish and non motile sperm. With this analysis also you are fertile and able to become a father but it may cause some difficulty and delay. Semen wash technique is helpful in your case to increase the motility. Consult your doctor and plan accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
199,754
What is the cause for rashes all over the body after eating mutton?
Patient: : Hellow DoctorAfter eating goat meat,my daughter got lashes on her whole body,Its hapoening whenever she takes mutton.How to cure this,she is 2.5yr o..." : Hellow DoctorAfter eating goat meat,my daughter got lashes on her whole body,Its hapoening whenever she takes mutton.How to cure this,she is 2.5yr o..." Doctor: Hello,Thank you for posting on HCM.The condition you have referred to is called Urticaria or hives. Its an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up.You may have to go for specific tests like patch test, food prick test, IgE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various anti-histaminics for long duration( atleast 3 months) with or without oral corticosteroids. For non- responding cases there are many other drugs like dapsone, cyclosporine, montelukast, omalizumab etc which can be used in certain selected cases. Hope this will help you in resolving your query.Thank you Dr Hardik Pitroda
14,778
What can cause cellulitis?
Patient: Hi, I banged my left knee about 5 weeks ago whilst getting into the car, it was very painful at the time, a lump formed just above and to the left of my knee. This lump was painless and caused me no problem. We went away for the weekend and took park in an Hill walk, that was quite steep and left us all aching afterwards. Later that night I felt me knee going tighter, this got quite worse by morning, as the day went by the swelling got worse with redness spreading down my leg. The morning after I went to a&e they diagnosed cellulitis, I have been on Ivs since monday, redness clearing but still angry and sorness around area of lump, could this lump have caused my cellulitis, why is the lump not responding to Ivs. Doctor: Hello, It may be due to cellulitis. For further assessment you may require complete hemogram, blood and discharge culture sensitivity after surgeon consultation. You may require broad spectrum antibiotics after consultation. Do regular dressing. Maintain proper hygiene. For pain you can take tablet Acetaminophen. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam Kale Family and general physician
122,393
What causes syncope with dizziness?
Patient: I was sitting, watching television when my head started feeling strange and I thought I was going to pass out. I got up and started moving around trying to get the circulation going. I feel like I am drunk. I am afraid to lie down. I am 69 years old and ok otherwise. I weigh about 195 lbs, 5'2" and take no prescription medication. Yes, I am overweight. Doctor: Hello Thank you for trusting HCM Many causes for dizziness. Are you hypertensive??? Are you diabetic??? Smoker?? Alcoholic?? Having any cardiac problems?? Are you taking any medication??? Allergic??? Many causes for dizziness but among divided into cardiac causes and non cardiac causes. Your suffering from only dizziness not syncope (your not having fall and loc). 1st we have to examine to rule out cause for it. If it is cardiac cause then it is harmful unless we treat. So please consult your doctor immediately. He will guide you accordingly.
196,063
What causes lump on upper right side of pelvic area?
Patient: I'm 22 years old and I have found a lump on the upper right side of my pelvic area. I can't feel it unless I'm standing up. I'm kind of nervous because I know it can be many things. Its not painful, but I would like to get an idea of what it could be before I go to the doctor. Doctor: welcome to Health care magic.1.Most possible painless lesions in that region are adnexal cysts ( ovarian cysts).2.Normally its not felt, unless its quite big.3.Quite young to think something bad. Don't get tensed.4.In your case if you are my patient, i would ask for a ultrasound scan to find out presence of lesion, and where it is extending from, what it is involving.5.It could be your feeling in some cases. So get confirmed. Hope it helps you.Anything to ask ? do not hesitate. Thank you.
68,855
When is the right week of pregnancy to get the ultrasound?
Patient: I am in my 10th week of pregnancy and haven t told family/friends yet. Only me and my husband are aware of the fact. In Canada, Alberta, the docs only do an ultrasound once you hit the 18th week. We are very very anxious and there is no way that we can get an ultrasound or doppler. Not sure when to tell the family and the anxiousness is just adding to stress Doctor: You can get an ultrasound whenever you want. There have to be cash pay ultrasound locations close to where you live. This may help alleviate your stress. The reason your doctor's office doesn't do ultrasounds until 18 weeks is because there is likely no medical reason to. If you have been healthy and have had no issues, there is generally no reason to have an ultrasound until 18 weeks. If you are having a problem like vaginal bleeding or contractions, that would definitely be an indication for an earlier ultrasound.
219,705
What causes white dots on foreskin?
Patient: Hi, I have just noticed these small white dot clusters on the skin of my penis. I am circumcised and notices these white dots on the foreskin, Not on the glans. what are they, only noticed then 2 days ago and had no sex in 16 weeks oral or anything. Doctor: Hello,It may be due to smegma. As it's asymptomatic there is no need for any active management. In case of bleeding you may require laser treatment after surgeon consultation. Watch for symptoms fever, penile discharge, abdominal pain than you may require detailed evaluation by physician. Maintain proper hygiene Hope I have answered your query...Let me know if I can assist you further.Regards,Dr Shyam kaleFamily and general physician
192,136
What does this abdominal ultrasound test result indicate?
Patient: Hi ,I have a small echo genie focus in mid pole of my left kidney at about 0.3 cm with no posterior shadowing in ultrasound. . In addition to that an ill defined hypoechoic area in upper pole of my left kidney with no vascularity . Although this area was not well visualised . There is an ectatic pyramid on the left kidney upper pole as well. Can you explain if I have something concerning or not ? Doctor: Hi, It is not concerning. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Indu Kumar, Radiologist
45,645
Suggest treatment for cough due to chronic bronchitis
Patient: im 34 years old with a hx of chronic bronchitis. I take alburterol occasional but for the past 4 mos have been coughing uncontrollably even during the hour of sleep (coughing has always been my only symptom.) Now more pronounced and I often drop my sats into the high 80's%. I now take singular prilosec and guiafenissen with codiene. Help...Its ruining my life could I now have cough variant asthma? If so what next? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. I don't think you are having cough variant asthma. Your chronic coughing is mostly due to poor treatment of chronic bronchitis. You are not taking appropriate treatment for bronchitis. In my opinion, you should first consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (pulmonary function test). PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with long acting inhaled bronchodilator and inhaled corticosteroids. Oral anti oxidants, mucolytics, expectorants are also useful in your case. So no need to worry for asthma or other lung diseases. Consult pulmonologist and discuss all these. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
75,771
Can Budecort inhaler be safely used in a child?
Patient: hi my son is 2yr 2months old.for past 7 months he suffers from severe chest congestion resulting in weeing and also breathes very hard. doctor advised me to give him asthalin inhaler as required and budecort inhaler daily twice a day.i m givin him the later from past 4 months.is the medication right and safe. nisha Doctor: Hi.... the medication is extremely safe, no need to worry about it. As your son seems to have multi triggered wheeze, I agree with your doctor that he should be using budecort inhaler.Regards - Dr. Sumanth
166,625
Sludge present in gall bladder, pain on left side and legs. Reason?
Patient: Hi, I recently had an ultrasound and the doctor discovered sludge in my gall bladder. I have had chronic pain for the last 5 years but mostly on the left side and down the legs. I know gall bladder pain typically presents on the right, but I am told it could have affected the pancreas - which is on the left. Could you tell me if either of these organs could be the cause of the pain down my legs? Doctor: Hello,Left sided abdominal pain is mostly due to splenic and gastric pain. Pancreatic pain is more in the center and very severe in nature. Mostly large vessel pathology in the abdomen causes pain in the legs.You may need CT scan of the abdomen to aid more in the diagnosis.
58,391
What causes recurring pimple like rash in intergluteal cleft?
Patient: Hi, a few days before my period I sometimes develop a sort of rash in my butt crack. It appears like a pimple, then bursts and leaves a hole like an ulcer. Sometimes there is a discharge. Before the rash appears, there is tingling and itching on the spot and then the spot becomes sensitive and painful. I do not scratch it and I wipe gently to avoid bursting the pimple. This usually heals up in about 7-10 days. What can this be and can you suggest a possible cause of this? Doctor: Hello, It could be a pilonidal cyst. I suggest you to kindly consult a surgeon as it is recurrent. Pilonidal cysts need to be removed if the area is getting repeatedly infected. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S., Dermatologist
13,370
What causes tingling in feet and loss of balance?
Patient: I am female, 49 years old with Dandy-Walker and VP shunt, PSVT and strange symptoms. Some are listed below: tingling in feet, hands pain in wrists and ankles itching at stomach area w/no rash red fingers in cold weather stiffness upon standing balance issues funny internal trembling white halo type flash of light in eyes w/no eye problem language issues (cannot find words) all of my teeth hurt at times (nothing wrong w/teeth) peeling nails abnormal ANA, twice extreme fatigue difficulty with walking at speed and balance that I used to not long ago My PCP passed me off to a Rheumatologist. He dismissed me as perfectly normal. My neuro passed me back to my PCP, and after an MRI told me that it was basically the same Am I just a hypochondriac? I do not visit any doctor often to complain. I am truly frustrated and concerned that I might need help. I have an appointment with a new rheumatologist in a couple of weeks, but I am worried that I will again be passed off or dismissed. Doctor: Hello!Welcome on HCM!I carefully passed through your question and would explain that your symptoms seem to be related to a rheumatological disorder. I agree with your attending physician on the need of consulting a rheumatologist. The presence of positive ANA is another argument, besides your clinical symptoms in favor of a rheumatological disorder. I would also recommend performing a nerve conduction study to exclude possible neuropathy, which could explain some of your symptoms. Further tests may be needed (prescribed by the rheumatologist ) to investigate for the possible cause of all this clinical scenario and determine the true diagnosis and help find the proper treatment options. Hope you will find this answer helpful!Best wishes, Dr. Aida
143,530
What does lumps in neck suggest?
Patient: My son had some form of bug bite on the back of his neck. The doctor gave him a prescription cortisone. Now, approximately two weeks later, he has two lumps approximately 1 - 2 1/2 inches away from the original bite. I assume they are enlarged lymph nodes. How concerned should I be? Doctor: Hi, thanks for writing to HCM and sharing your son's health concerns!Yes, you are correct; this neck lump is nothing but an enlarged lymph node due to recent inflammation in the surrounding area!This is normal reactive/preventive action of our body's immunity system towards any infection, agents or insult...!Therefore, this one does not need any treatment as this is expected to disappear within 6-10 weeks but should be monitored! I would further suggest you, if still not convinced, to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health.
65,607
How to cure delayed recognition in the movement of brain?
Patient: My son has a problem. He gets ill because he has a delayed recognition of movement by the brain. He describes his illness as moving his head to thr left or right and the brain senses this movement in a delayed way. This is causing him to a bit like motion sikness but it is not motion sickness but a very real delayed recognition of movement. Doctor: Hi, There are several things that come to mind that could fit his description of symptoms. One is positional vertigo which is a sense of unusual bodily movement that can come with symptoms of nausea (perhaps even vomiting if persistent). The other is something referred to perceptual POSTURAL POSITIONAL DIZZINESS (PPPD) and in this disorder a person is always feeling a little off kilter. Either a ENT specialist interested in vertiginous disorders or neuro-otologist would be best to evaluate his symptoms for the best diagnosis. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
140,030
What causes back pain and suffocation even after heart bypass surgery?
Patient: Hello doctor... I am geeta pandey I m a heart patient I was undergo surgery of blokeg in.2005 from Lps institut of cardiology kanpur.... Doctor suddenly I hv again a problem of suffocation sinice morning nd hving pain in my back as well...so what kind of medical treatment I should take Doctor: Hello Resp. Geeta,I have gone through your query.Thanks for using HCM.I would like to know what were your symptoms prebypass which lead to diagnosis of heart disease? If you have similar symptom then it is quite likely that you have developed new blockages in graft or at another site in native vessel.In anycase ,you should get ECG done and depending upon its report you may need stress test or direct angiography .In short I suggest you to go to your physician for early evaluation.My best wishesDr.Rajesh Teli,MD
27,554
What causes deep cough, fluctuating fever, soreness in neck and shoulders?
Patient: I have had cold flu for four days now cannot stop headaches or aches no matter what I take. Jaw is tight and sore so is my neck and shoulders. Running nose. Deep cough and fever 99.2 to 101 something flucuates. Just want to sleep but cant. Sometimes husband says is peach doesn t make sense. Tookb12 that did help my talking make sense taking everything in medicine closet. No money for urgent care clinic. What can I take to better. Thank you anyway. No ability to PayPal or debit. Nice night. Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you are suffering from viral infection and seems to be most probably influenza or flu and the symptoms of cold, cough, runny nose, body aches, fever seems to be due to it..As the viral infection resolve once the virus completes its cycle and as of now you can start taking supportive treatment to relieve symptoms like take Acetaminophen to relieve fever.Take Ibuprofen to reduce pains and aches.Take decongestants like Phenylephrine, mucolytics like Ambroxol and anti allergics like Levocetrizine..You can do warm saline gargles, steam inhalations and use a humidifier in your room..You can do saline nasal irrigation and decongestant nasal sprays like Xylometzoline..Avoid spicy and chilled foods and sip on plenty of warm water..Take sufficient rest..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora..
31,331
Can redbull cause kidney stones?
Patient: I drink a 250ml can of redbull a day, also several glasses of water. Can redbull cause kidney stones? For the past several years (mostly during winter) i develop kidney stones, the last one was 1/4 inch in size which i passed. Any thoughts on this theory? Thank you foe your time. Doctor: HelloThanks for query.Drinking 25o ml of Redbull can not be a cause of having stone in kidney.Following are the primary causes for developing stone in kidney 1) Drinking less water that results in to urine being concentrated which tends to precipitate calcium salts in kidney to form the stone 2) Abnormal high levels of Calcium and Oxalates in blood.3) Frequent UTI 4) High levels of uric acid in blood Drink more water to prevent forming kidney stones and avoid taking foods rich in calcium and Oxalates like Cabbage ,spinach ,milk products ,Tomato etc.Dr,Patil,
48,167
What is the suggestion for dryness and red rashes after stop applying betnovate cream ?
Patient: Hello Dr. I was using Betnovate skin cream from last three years. I used it in night appox three times in a week. My skin was very nice while I was using the same but I felt that when I left it for about 5-6 days, my skin becomes dry and patchy. I thought to leave it from than but it's almost 1 month of leaving and I could not get my skin fine. This is dry and some red rashes are there. Please suggest, what should I do? Doctor: Hello, Betnovate cream is an anti inflammatory steroid. Topical corticosteroids creams should not be used without the prescription of a doctor. It is advisable to be applied not more than four weeks. You have been using the cream since three years, it is too long a period. Commonly such long use of corticosteroid creams on the face result in weakening & thinning of the skin. This is a side effect, you are suggested to visit a dermatologist & get physically examined. In the meantime, you can apply cold compress for relieve. Calamine lotion or Soframycin cream can be applied topically. You can take non sedating antihistamines to help reduce the allergic reaction. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
12,960
What causes lower back pain after intercourse?
Patient: Morning Doctor,My husband and I have the same problem of pain at lower back after having sex, he believes its infection and he went to the pharmacy they gave him cifran 500mg tablets. We started taking the pill yesterday. Is it right or must we consult a physician? Doctor: hithis is Dr RohitI am glad you have shared your concernthere are numerous causes of back ache after sexual intercourseI would think basically it because of the position which you are using which is causing the back acheFYI - Backache is usual after intercourseI feel it is not very necessary to take antibiotic unnecessarily
107,237
Does an Angioplasty helps to repair damaged heart muscle?
Patient: hi. my husband has damaged heart muscle fro mwhat we think was undiagnosed heart attack years ago. he is on several meds: toprol, lisenoprel, coreg and newest niasen (sp)..he has been complaining of chest tightness at times, went to see his cardio guy. did stress test came back abnormal at "tip" of heart. he wants to do an angio. he had one and a stress test 2 years back and they were normal. at this point in time, is it worth a 2nd opinion or shoudl he go ahead with angio. dr told him 1 in 1000 patients dont survive?? seems high to me and i am scared for him Doctor: Hi,Positive stress test means their is possible blocked artery in the heart and the heart muscles are viable. If he has a heart dysfunction also so i recommend you to go ahead with the angiography as after opening it heart muscle may recover. Risks in angioplasty includes bleeding because during and after angioplasty we give blood thinners. This risk is also very low & very rarely is life threatening. Medicines along with opening of blocked artery will result in recovery of heart muscles gradually. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Sameer Maheshwari
22,539
What is the treatment for costochondritis?
Patient: I am Zehara, 32 yeare old, 64 Kg and I have been suffereing from chest pain and diagnosed for costochondritis before six mounths and were positive. some time the pain go and back especially when I took Depo injection. Now I start thinking about the contraceptive I took in parallel has some thing to do with the costochondritis I am suffering from. Dear doctor, is my suscpect is correct? if so what should I do? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, your suspicion is right. Contraceptive pills can actually worsen costochondritis. These pills can cause hormonal imbalance and this inturn cause worsening of inflammation. So better to stop contraceptive pills and start barrier contraception like vaginal condom, male condom etc. Also follow these steps for better symptomatic relief in costochondritis. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
76,284
Suggest medication for cough and congestion
Patient: Hi, my 8 week old baby has had a cough for aboit 10 days now. Had steriods for 2 days and took him back to docs who said its just a cough and his breathing is fine and chest clear etc. He is however having coughing bouts and bringing up stringy clear phlem that u almost need to scoop out witb your hand. Im worried about whooping cough or is this just a cough? My 2 older children also have had awful coughs Doctor: Hi,Thank you for asking question on health care magic.Your history indicates whooping cough.Erythromycin 40 mg/kg body weight in 2-3 divided doses.Ambrodyl-S and steroids will relieve cough temporarily,reduces paroxysms and the child feels comfortable.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
179,522
Why my heart is skipping a beat?
Patient: My heart feels like it has been skipping a beat and then will resume with a very hard beat. It is doing this over and over again, many times in a minute for about two days. I have had this before but only isolated incidents. I feel a little weak and tired too. Doctor: Hi,From your description it seems that you have premature beats. It is a type of arrhythmia that is normal in small amount during the day.If they are more frequent, it can be cause by stress, dehydration or irregular lifestyle. Try to regulate your lifestyle, avoid stress, drink much water, eat food rich in potassium and magnesium.If your complaints don't disappear in a couple of days, see your doctor and have an ECG done.Hope I could help youWishing you good healthIn case of further questions don't hesitate to askRegards,
25,954